2025 Volume 32 Issue 5 Pages 111-114
Bladder pain syndrome is a disorder characterized by pelvic pain and urological symptoms, such as frequent urination and increased urinary urgency, with no identifiable organic cause. The exact etiology is unknown, and no definitive treatment is available. A 59-year-old woman experienced pubic discomfort for five months, accompanied by intense pubic pain and urinary urgency. She was referred to our hospital after receiving treatment at several medical institutions, and none of her symptoms improved. She had persistent needle-like pain from the vulva to the perianal area accompanied by allodynia. Her treatment included pregabalin for pelvic pain and traditional Japanese Kampo medicine for urinary urgency. As a psychosocial evaluation revealed depression, anxiety, pain catastrophizing, and decreased daily activity, acceptance and commitment therapy with cognitive-behavioral therapy was introduced. Following treatment initiation, the patient's persistent pain and urological symptoms improved. Multidisciplinary therapy in line with the chronic pain treatment strategy may be effective for refractory bladder pain syndrome.
